A Case-Management System for Coronary Risk Factor Modification After Acute Myocardial Infarction

DeBusk, Robert F.; Miller, Nancy Houston; Superko, Robert H.; Dennis, C; Thomas, Robert J.; Lew, H T; Berger, W E; Heller, Robert S.; Rompf, J; Gee, David L.; Kraemer, H; Bandum, A; Ghandour, Ghassan; Clark, Martha F.; Shah, Reena; Fisher, Lloyd D.; Taylor, Charles B.

doi:10.1097/00008483-199411000-00011

Cited by 143 publications

(235 citation statements)

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“…However, although aggressive lipid lowering is now a very well-established treatment, and has been proven to be cost-effective (3), it is generally believed that large gaps exists between what is recommended in consensus guidelines (4,5) and what is actually achieved in routine clinical practice (6)(7)(8). Much effort has been invested during the past decade in demonstrating that large and comprehensive cardiac rehabilitation centres improve risk factor management and outcomes (9)(10)(11)(12). However, only a relatively small proportion of patients with established coronary artery disease (CAD) has access to these facilities (13,14), and the overall cost of these centres, while not prohibitive, is nonetheless an obstacle to their wider adoption.…”

Section: Objectives and Methodsmentioning

confidence: 99%

Surveillance and treatment of dyslipidemia in the post-infarct patient: Can a nurse-led management approach make a difference?

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et al. 2006

Canadian Journal of Cardiology

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Section: Objectives and Methodsmentioning

confidence: 99%

Surveillance and treatment of dyslipidemia in the post-infarct patient: Can a nurse-led management approach make a difference?

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et al. 2006

Canadian Journal of Cardiology

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“…20 Variability has been found in results for individual applications of proactive calls. Efficacy has been demonstrated when proactive telecounseling is used as the primary intervention [21][22][23][24][25] and to augment hospital initiated interventions for cardiac patients 26,27 or general hospitalized patients. 28,29 There seems to be a dose response effect, with multiple calls producing higher abstinence relative to a single call.…”

Section: Evidence Base: Proactive Telecounselingmentioning

confidence: 99%

Quitlines in North America: Evidence Base and Applications

Ossip-Klein

McIntosh

2003

The American Journal of the Medical Sciences

143

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Quitlines provide a model for the translation of research findings to public health application. Quitlines are currently in operation in more than half of US states, in Canada, and in multiple countries globally. Overall, when implemented correctly, quitlines have been shown to be efficacious and effective. Multiple quitline models are in use, but there is no evidence on the relative effectiveness of one over the other. Differences have been demonstrated for the efficacy of quitlines for specific applications, with the strongest evidence base for application as a primary intervention or as follow-up for hospitalized patients and particularly for cardiac patients. The evidence base for both reactive and proactive services is reviewed, and future directions to continue to advance the field are discussed. Q uitlines provide an exemplary model of how research findings can be translated into public health application. The field began with a handful of researchers in the early 1980s and experienced marked growth through the past 2 decades. Currently, in North America, quitlines are in operation in more than 30 US states, a number of major American health systems, and multiple Canadian provinces. Quitlines are also available in multiple countries globally, including Denmark, France, Germany, Iceland, Ireland, Italy, Netherlands, Norway, Poland, Portugal, Spain, Sweden, Switzerland, the United Kingdom, Australia, New Zealand, and others.Overall, when implemented correctly, quitlines have been shown to be both efficacious and effective. The beneficial impact of quitlines has been supported by 3 meta-analyses 1-3 and by multiple individual studies.The purpose of this article is to provide an overview of the goals, range of services, and models for quitlines; to summarize the evidence base for what works; to discuss a special and growing application of quitlines to adolescents; and to provide a look at directions for the field. Overview: Goals, Range of Services, Quitline ModelsGoals. Quitlines can have the greatest potential impact when used as part of a comprehensive tobacco control effort. Within this context, quitlines can have 2 primary goals to maximize their public health influence. First, quitlines can provide direct service to help smokers quit. The Centers for Disease Control (CDC) estimates that only 2.5% of smokers quit permanently each year 4 ; similar figures have also been reported for the United Kingdom. 5 These rates suggest that there is considerable opportunity for quitlines to directly affect smoking cessation behavior; even a small percentage increase in quit rates has the potential to translate into meaningful public health change.A second primary goal of quitlines is to increase the number of smokers making a quit attempt each year, by awareness raising generated from promotional campaigns linked with quitlines. Even if success rates for quitting remain constant among those who try, increasing the number of smokers who make a quit attempt can yield a greater number of total quitters. About ...

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“…[1][2][3][4] Similarly, telephoning patients after hospitalization for acute myocardial infarction has been shown to increase smoking cessation rates. 5 In the majority of these studies nurses telephoned the patients; the impact of a pharmacist-based system has not been evaluated.…”

mentioning

confidence: 99%